OSH Code · Form XXVI (Form 26)
Form XXVI — Application for Composition of Offence
Form XXVI of the OSH & Working Conditions (Central) Rules 2026, prescribed under Rule 182(1).
Rule: Rule 182(1) · Signed by: Occupier
What the form records
- Name of applicant
- Father's / Spouse name
- Address of the applicant
- Name of establishment
- Particulars of the offence
- Section of the Code under which the offence is committed
- Maximum fine provided for the offence under the Code
- Whether prosecution against the applicant is pending or not
- Whether the offence is a first offence or whether the applicant has committed any other offence prior to the offence. If yes, then, full details of such prior offence
- Any other information which the applicant desires to provide
- Applicant (Name and signature)
- Dated
OSH Code Form XXVI is the 26th form of the Seventh Schedule, so it is also written OSH Code Form 26. Both refer to this same form: Application for Composition of Offence.
Part of the Seventh Schedule to the OSH & Working Conditions (Central) Rules 2026. View the official form layout in the gazette, or open Form XXVI in MedFactory.
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